Would a lower face lift to fix lax skin in the lower face due to a hematoma and then filler?

Question

I gad hematoma years ago snd i have scar tissue and two pockets that usually lie flat . Two years ago they were filled with h.a. Tried to dissolve multiple times in the matter of two year and they got better. This year new plastic surgeon injected directly in the jowls making the is issue exponentially worse. Hyaluronidase 7 time made it even worse. I may have residual filler but after 7 treatments and my it is pointless. Would a lower facelift and later on fat grafts or filler help?

Jason Emer, MD · Answer

you are a candidate for lift with fat grafting +/- Sculptra or fillers.  long term morpheus and sculptra will be needed to maintain the results.With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, morpheus, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

Reginald Rice, MD, FACS · Answer

After reviewing your picture, I would recommend that you consider volume before any other surgery. Because the cheeks can be a "black hole" for fillers (it takes a lot to get a good result), I would recommend you under go fat transfer. Understand that it might take 2 sessions to get where you want to go due to the absorption ("non-take" rate) of autologous fat.

Would a lower face lift to fix lax skin in the lower face due to a hematoma and then filler?

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Everything you need to know about Lower Facelift

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Would a lower face lift to fix lax skin in the lower face due to a hematoma and then filler?

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Everything you need to know about Lower Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.